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38 terms

mental status exam words

STUDY
PLAY
loose associations
fragmented thoughts- not connected

Cant go to macys......no money.......oh...i have a button.....man...whats the problem?.......they run....
neologism
invented words-symbolic to pt related to delusion

"iam afraid to go to the hospital because the grudigs are looking for em there"
word salad
random words with no associations

Iam fine..pie.....no sale......lazy boy......take it slow...time.....poop......chocolate pie.....up there
flight of ideas
rapid speech with out pause
blocking
talking then stops to say they forgot what they were gonna say
clang associations
rhyming words
bow show doe hoe go hum bum
confabulation
filling in memory gaps with fantasy
obsession
idea, impulse, or emotion that a person cannot stop or put out of his consciousness
perseveration
involuntary repetition of same thought, phrase or motor response to different questions or situations
stuck on a thought
autistic
subjective, highly individualized associations that are derived from within the patient
internal stimulation
circumstantiality
detailed story to get to the point or to answer a question
tangentiallity
progression of thought that move away from the question posed or respond to the communication offered

going off from train of thought
conversion
intrapsychic conflict converted and expressed in a symbolic somatic symptom
blind for an hour
numbness in hand
hypochrondriasis
preoccupation with body symptoms and state of health regardless of neg tests
usually focused on a specific organ such as heart or lungs
somatiziation
multiple physiological complaints with no related cause --related to emotional rather than physiological causes
somatic delusion
fixed false belief about one's state of health or bodily functions
my legs are broken
i have no organs
iam bleeding every where
compulsion
repetitive act patient feels driven to
obsession
persistent thought patient is unable to control
phobia
irrational, unrealistic fear of objects or situations
rumination
repetitive speculation, often circular in nature, that interferes with rational thinking: excessive worrying
always thinking of the worst
always thinking of consequences
delusion
fixed false belief that cannot be changed by an appeal to reason
wife is cheating on me
she is planning to kill me
god will come for me today
I talked to god
delusion of control
thoughts of being controlled or influenced by outside forces
grandiosity
feeling unrealistically important

super hero
i can fly off this building
i am god
paranoia
extreme suspiciousness and delusions of persecutions; belief of being singled out for unfair treatment
ideas of reference
incorrect interpretations of actual events, giving them special meaning to the person involved

everything has to do with the patient
that sign means i should take 3 steps to the left
she is wearing those boots because she wants to kick me
deja-vu
sensation of having experienced current feelings before
hallucination
subjective/false sensory perceptions that can occur in any sensory modality
visual
auditory, taste, smell
illusion
misinterpretation of real sensory experienced

a vase of flowers may look like a cat sitting on its hind legs
affect
outward presentation of emotion
blunted (reduction in intensity), flat (lack of expression), restricted, sad, angry
mood
emotion
happy, labile, depressed, angry
orientation test
ask person place and time
attention and concentration test
subtract 7's
memory test
remember 3 things
ask to repeat at end of conversation
general intelligence test
define a word
abstract thinking test
take a situation and make it general
eg
dont count your chickens before the eggs hatch
insight and judgement test
what would you do if.........
perception and coordination test
????
lethality assessment
have you had thoughts of killing yourself?
do you have a plan?
do they have equipment to do so?
is there a hx of attempts?